Women & Non Binary Acrobatics Retreat Registration Form
Applications deadline Friday 2nd August 2024, 5pm.  

Dates: 3pm Friday 30th August through to 3pm Sunday 1st September 2024
Venue: Westwood Retreat Centre, Westwood Edge Rd, Golcar, Huddersfield HD7 4JY, UK

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Email *
1. About You
1.1  Full Name (First and Last Name) *
1.2 What is your preferred pronoun? *
1.3  Contact Number *
1.4  Town/City Country of Residence
2.  Your Level & Experience 
2.1 Can you BASE and confidently spot any of the following?  *
2.2 Can you FLY and confidently spot any of the following?  *
2.3  Is there any you want to share with us about your acrobatic practice?
2.4   Can you tell us a bit about your handstand practice?  Can you do any of the following handstand skill? *
2.5.  Is there anything you would like to learn or focus on during the retreat?
3. Medical Information
3.1 Please share anything that may inhibit your ability to participate fully over the weekend or that would be useful to know in case of a medical emergency?  
3.2  Emergency contact name & relationship to you *
3.3  Emergency Contact Number *
4. Dietary Needs
4.1 Catering will be provided during our weekend.  Please share any dietary needs / preferences and or allergies that we need to be aware of?  
5. Safety and Risk Declaration
5.1  I understand that training acrobatics has risks and I may incur an injury to myself or to those that I train with.  I understand that I am responsible for my own training and share this responsibility with those I train with. *
6. Housing Preferences 
6.1 There are a different accommodation options at Westood Retreat Centre. Please indicate where would like to housed. Note this on a first come first serve basis.  *
6.2  If you are happy to share a double bed and want to share with someone specific please write their name here. 
7. Payment
Please proceed to this Payment Link, make your payment and return back to this registration form 
7.1 Please tick the following box to confirm you have made your payment for our WNB Acro Retreat. *
A copy of your responses will be emailed to the address you provided.
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